Evidence map›Paper›PMID 38461095›Full record

ArticleInternational dental journal2024

Changes in Antibiotic Redemption Related to Hungarian Dental Care During COVID-19.

Nándor Kalas, Attila Nagy, Nóra Kovács, Viktor Dombrádi, Gábor Bányai, Klára Bíró, Klára Boruzs

Open access · goldAbstract read
In one paragraph

Article in International dental journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Nándor KalasDoctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary; Dental Care Service, University of Debrecen Clinical Center, University of Debrecen, Debrecen, Hungary.
Attila NagyDepartment of Health Informatics, Institute of Health Sciences, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary.
Nóra KovácsDepartment of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Viktor DombrádiDepartment of Patient Safety, Health Services Management Training Centre, Faculty of Health and Public Administration, Semmelweis University, Budapest, Hungary.
Gábor BányaiInstitute of Health Economics and Management, Faculty of Economics and Business, University of Debrecen, Debrecen, Hungary.
Klára BíróInstitute of Health Economics and Management, Faculty of Economics and Business, University of Debrecen, Debrecen, Hungary.
Klára BoruzsInstitute of Health Economics and Management, Faculty of Economics and Business, University of Debrecen, Debrecen, Hungary. Electronic address: boruzs.klara@econ.unideb.hu.
University of Debrecen · HUSemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

aimsAntibiotic resistance is a global health problem that can affect individuals, health systems, and the economy. Our aim was to investigate how the redemption of antibiotics and the associated dental care changed during COVID-19 in Hungary.

methodsThe ICD codes for the infections for which antibiotics should be prescribed in dental care were identified based on the professional recommendation. The database was provided by the National Health Insurance Fund Manager of Hungary. Pearson's chi-squared test with Bonferroni correction was used to compare both the redemption of antibiotics and the associated dental care based on the recommendations in the year 2020 of the COVID-19 and the 2 preceding years.

resultsThere were fewer antibiotic redemptions and associated dental care in 2020 than in 2018 and 2019. The ratio of professionally relevant and nonrelevant antibiotics redeemed did not change significantly between 2018 and 2019, but the proportion of antibiotics redeemed following recommendations increased significantly during the COVID-19 year of 2020 compared to the previous 2 years. The proportion of all dental care involving antibiotic redemptions increased significantly from 2018 to 2019, and then showed a further increase in 2020. The sex and age of the patient did not affect these findings, while the type of dental care did alter the trends in some cases.

conclusionsAntibiotics in dentistry are required only for very low proportion of cases, due to the nature of dental care where most infections such as caries and periodontal disease could be managed without resorting to antibiotics. Antibiotic redemptions during COVID-19 pandemic period increased compared to the pre-pandemic period in Hungary. Therefore, Hungarian policy makers need to develop control systems to promote the correct use of antibiotics in dental care. CLINICAL RELEVANCE: It is important to reduce unjustified use of antibiotics so as to curb the emergence of antibiotic resistance organisms.

Indexed as

Anti-Bacterial AgentsCOVID-19Dental CareFemaleHumansHungaryMaleSARS-CoV-2Anti-Bacterial AgentsAntibioticsCOVID-19Dental careHungaryPandemicRedemption

Identifiers

PMID38461095
PMCPMC11561477
OpenAlexW4392765095

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.